Healthcare Provider Details

I. General information

NPI: 1679759955
Provider Name (Legal Business Name): VINEET KAPUR MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 ALAMEDA DE LAS PULGAS
REDWOOD CITY CA
94062-2751
US

IV. Provider business mailing address

751 LAUREL ST 442
SAN CARLOS CA
94070-3113
US

V. Phone/Fax

Practice location:
  • Phone: 650-369-5811
  • Fax:
Mailing address:
  • Phone: 650-315-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA68823
License Number StateCA

VIII. Authorized Official

Name: DR. VINEET KAPUR
Title or Position: CEO
Credential: M.D.
Phone: 650-315-7897